The crying baby

Having a baby is a wonderful and frightening thing. You are sent home with a tiny person who seems to need so much care and attention. You’re completely in love, but it can seem overwhelming. And while we all know babies cry, some babies cry A LOT. About 30% of babies will have “excessive crying”, the type that can last for hours, and cannot be soothed. This is incredibly frustrating, heartbreaking, and bewildering for parents. Aren’t we all told that babies “only cry for a reason” and all they need is milk and cuddles? Then there is the sense that you must be doing something wrong, because other babies don’t cry the way yours does.

My daughter (I’ll call her Star) was one of those excessively crying infants. The crying (or screaming, rather) started at four weeks and ended at nine weeks, quite suddenly. It often lasted hours, and one day she cried for EIGHT HOURS. I am not kidding! In between she was flourishing and was adorable, of course.

She wasn’t a chucker, so “reflux” wasn’t diagnosed. However, this seems to be a very common diagnosis these days in unsettled babies. While some babies undoubtedly do suffer inflammation and pain from reflux, in the most case a “spitter-upper” is not crying because of reflux. Studies have demonstrated that episodes of crying are not related to episodes of reflux. There is little evidence to support the use of popular anti-acid medications like Losec, with studies showing that babies do not become less unsettled or cry less on these medicines. Yet reflux continues to be a convenient label for an unhappy baby.

I came across a wonderful new website called “The Purple Crying period“, which I highly recommend to all parents with crying babies. Written by paediatricians and child psychologist researchers, it provides a reassuring, balanced and evidence-based approach to the crying baby. The website presents the excessive crying period as a normal part of infancy, and discusses some of the common techniques to calm babies such as swaddling, white noise, movement, baby-wearing etc. The experts make the point, which has been confirmed in clinical studies, that there is no one magic technique that works all the time. Time helps, with the excessive crying abating by 3-4 months. In the vast majority of cases, babies are perfectly healthy and are free of disease. However, all babies should be examined by a doctor if they are crying excessively, especially if they are unwell, not gaining weight, or have symptoms like fever, vomiting and diarrhea.

www.purplecrying.info

Parents of babies who cry excessively are more prone to depression, stress and anxiety. It’s vital to understand that it’s “normal” or usual for babies to cry like this, and that it does not reflect parenting abilities. All too often parents are accused of being “too stressed” about their babies, indicating that relaxed parents don’t have crying babies. If your baby cried for hours on end at any time of day, of course you would be stressed! Stress is usually the result of, and not the cause of, the excessive crying – but in the same token, mums and dads need to pay attention to self care and seek help if they are struggling.

When parenting gets tough, take time to have a cup of tea with friends.http://www.mfa.org/collections/object/the-tea-32829

It does come to an end, of course, but I remember those days and nights as though they were yesterday. I believe it served a purpose – to make me stronger; to acquaint me with the myriad of techniques that can help soothe babies (white noise, jiggling the baby, positioning, I know it all!) and most importantly, create compassion and empathy for other parents. Hang in there to all of you doing it tough. It WILL end.

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About Dr Carolyn Ee

Carolyn is a Sydney-based GP and acupuncturist/Traditional Chinese Medicine practitioner who has devoted her career to finding the evidence for health and happiness. She was the first practising medical doctor in Australia to also qualify as a Traditional Chinese Medicine practitioner. She is a post-doctoral researcher at the National Institute of Complementary Medicine and the Chair of the Integrative Medicine Working Group at the Royal Australian College of General Practitioners. Her previous work on acupuncture for menopause was published in a high-impact internal medicine journal. She has appeared on radio and on national television. Carolyn continues to work as a clinician alongside her research work, and is on a journey to find the best way to combine a career and family. She moved in early 2016 from Melbourne to the Northern Beaches of Sydney with her husband and two young children, and enjoys running, high-intensity-interval training, goal-setting, and the occasional eating of cupcakes.